Infarto renal en paciente con COVID-19

Tascón, Guillermo Cuevas; Chiriboga, Danilo E. Salazar; Ramos, Rosa Lorente; Díaz, Domingo Díaz; Ruiz, Covadonga Rodríguez; Procaccini, Fabio; Aguilera, Esther Torres; Navarro, Juan A. Martín; Gómez, Benedit M; Rivas, Núria Muñoz; Arroyo, Roberto Alcázar

doi:10.1016/j.nefro.2020.04.008

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…Given the elevated d-dimer values, we hypothesized that the renal findings might have occurred either due to the COVID-19 related mechanisms causing AKI and/or underlying hypercoagulopathy. To date, there have only been few reported cases describing renal imaging findings and all of those cases were dependent on the underlying severe hypercoagulopathy [6][7][8][9]. Apart from these cases, our case is the first in the literature with abnormal renal radiological findings occurring in a patient with only mild COVID-19 and no signs of thromboembolic findings in any other organs.…”

Section: Discussionmentioning

confidence: 68%

“…Renal abnormalities in patients with COVID-19 have been previously described. These renal pathologies include COVID-19 associated acute kidney injury (AKI) [11] and there have been a few reports describing renal infarcts due to severe hypercoagulability state which can occur in these patients [5][6][7][8][9]. Presence of AKI in patients with COVID-19 was found to be a rare complication [11].…”

Section: Discussionmentioning

confidence: 99%

“…In a recent study, Bhayana et al described bowel abnormalities and cholestasis as the most common abdominal imaging findings [5]. Additionally, apart from gastrointestinal findings, renal pathologies including renal infarct have also been reported [6][7][8][9][10][11][12]. However, renal findings are typically seen in patients with severe COVID-19 disease.…”

Section: Introductionmentioning

confidence: 99%

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Possible radiologic renal signs of COVID-19

et al. 2020

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Coronavirus disease 2019 (COVID-19) has caused a huge outbreak worldwide. Patients infected with COVID-19 most commonly present with respiratory tract symptoms and pneumonia. Gastrointestinal symptoms can also occur in these patients. Renal involvement presenting as acute renal infarct and/or acute kidney injury has been described in literature; however, these typically occur in patients with severe COVID-19. To the best of our knowledge, there are no reported cases describing abnormal renal imaging findings in a patient with only mild form of COVID-19. We, therefore, report a case of a patient with mild COVID-19 presenting with acute abdominal pain and acute renal infarct.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Possible radiologic renal signs of COVID-19

et al. 2020

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“…ACE2 provides the entry point for SARS-CoV-2 to attach to and infect human cells; ACE2 is expressed on podocytes, vascular endothelial cells and proximal tubule cells. The ability of these different kidney cells to be infected may explain injuries develop in various parts of the kidneys (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

“…Numerous morphological patterns have been described in the kidneys of patients with COVID-19, including renal infarction (3)(4)(5), collapsing glomerulopathy (CG) (6-10), tubulointerstitial nephritis (11), acute tubular injury, (2,12,13) acute pyelonephritis, rhabdomyolysis, lymphocytic infiltrates, and focal segmental glomerulosclerosis (14), isometric vacuoles in the proximal tubular epithelium (12,14) and thrombotic microangiopathy (TMA) (15).…”

Section: Introductionmentioning

confidence: 99%

Brazilian Consortium for the Study on Renal Diseases Associated With COVID-19: A Multicentric Effort to Understand SARS-CoV-2-Related Nephropathy

et al. 2020

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Kidney involvement appears to be frequent in coronavirus disease 2019 (COVID-19). Despite this, information concerning renal involvement in COVID-19 is still scarce. Several mechanisms appear to be involved in the complex relationship between the virus and the kidney. Also, different morphological patterns have been described in the kidneys of patients with COVID-19. For some authors, however, this association

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Risk Factors For Kidney Damage In COVID-19 Patients Admitted To The Intensive Care Unit

et al. 2021

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Background — Acute kidney injury (AKI) reaches 29% in the intensive care unit (ICU). Our study aimed to determine the prevalence, features, and the main AKI factors in critically ill patients with coronavirus disease 2019 (COVID-19). Material and Methods — The study included 37 patients with COVID-19. We analyzed the total blood count test results, biochemical profile panel, coagulation tests, and urine samples. We finally estimated the markers of kidney damage and mortality. Result — All patients in ICU had proteinuria, and 80.5% of patients had hematuria. AKI was observed in 45.9% of patients. Independent risk factors were age more than 60 years, increased C-reactive protein (CRP) level, and decreased platelet count. Conclusion — Kidney damage was observed in most critically ill patients with COVID-19. The independent risk factors for AKI in critically ill patients were elderly age, a cytokine response with a high CRP level.

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Infarto renal en paciente con COVID-19

Cited by 5 publications

References 11 publications

Possible radiologic renal signs of COVID-19

Possible radiologic renal signs of COVID-19

Brazilian Consortium for the Study on Renal Diseases Associated With COVID-19: A Multicentric Effort to Understand SARS-CoV-2-Related Nephropathy

Risk Factors For Kidney Damage In COVID-19 Patients Admitted To The Intensive Care Unit

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